20th July 2020

A patient with known chronic hepatitis B infection presents to the GP surgery

A patient with known chronic hepatitis B infection presents to the GP surgery with new-onset symptoms of jaundice, abdominal distention and red lesions. On general examination, you find yellowing of the skin and that the red lesions appear like spider naevus. On abdominal examination you find shifting dullness present. 

Select the SINGLE most likely complication this patient has developed as a result of their chronic hepatitis B infection from the list below. Select ONE option only.